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Business impact target

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The business impact target is part of the government's deregulation agenda. Its aim is to reduce the regulatory burden on business.

CQC and other regulators have now been brought into the scope of the target. This means we need to assess the impact on businesses of any eligible changes we have made to the way we regulate since 8 May 2015. When a general election was called to be held on 8 June 2017, this changed the period for which regulators must report these changes. We must now publish details of changes made up to 9 June 2017.

There are two requirements we must meet. The first is that we must produce Business Impact Target Assessments (BITAs). These set out our estimate of the impact of changes we make in our regulatory approach on business, monetised as far as possible. The second is that we must submit a list of all changes we have made in our regulatory approach to show that we have produced BITAs on the right changes. To meet these requirements for the first reporting period up to 9 June 2017 we were required to submit these reports to an external body called the Regulatory Policy Committee (RPC) by 3 May 2017.

These tables set out details of the changes. They are also available in our annual report.

Qualifying regulatory provisions

Came into force during the 2015 to 2017 Parliament (8 May 2015 to 8 June 2017)

Title of measure

Description of measure

BIT score (£ millions)

Mental Health Act Integration Programme

In January 2015 we sought to improve the way we combine our responsibilities under the Health and Social Care Act (HSCA) with our Mental Health Act (MHA) functions. We revised our visiting framework for the regular MHA monitoring visits and developed new tools to use on monitoring visits and increasing the information we can gather about the way the MHA, guiding principles and MHA Code of Practice 2015 standards are being applied locally.


New approach to inspecting specialist substance misuse services

In July 2015 we introduced a new way of inspecting specialist substance misuse services.  This change encompassed collecting information from providers prior to inspection, announcing our inspections and publishing new guidance.


Introduction of new provider online registration and extensions of the Provider Portal

In Autumn 2015 we sought to move registration processes to digital platforms.  We introduced a way that new providers could register with us online; previously applications would have been made on paper or via email.  Once providers are registered with us they need to provide us with information every time their registration changes and whenever certain events occur.  We have extended the number of organisations that can use our Provider Portal – a digital platform – to submit this information.


Under RPC review

Changes to ASC handbooks

We published handbooks for the different sectors we regulate to provide information about how we regulate them.  The contents of some of these handbooks changed over the last few years and we provided update versions on our intranet site.


Independent Health provider Information Return revisions

We collect information from providers prior to inspection through the Provider Information Return (PIR).  This helps us what to look at on inspection.  We have changed the fields in the PIR over the course of the past few years.


Improved Factual Accuracy (FAC) Process

Following an inspection CQC shares a draft inspection report with providers before its publication. As part of this process, CQC sends providers a form to complete if they wish to challenge the factual accuracy and completeness of the draft reports.  In August 2016, CQC issued a clearer FAC instruction and guidance document along with a new FAC form.


Table of changes of CQC's non qualifying regulatory provisions

Identified in period May 2015 to 20 April 2017

RPC reference number: RPC-3825(1)-DH-CQC – this an updated report from that sent to the RPC with an additional L3 and an additional L4.

Excluded category

Summary of measure(s), including any impact data were available

A – EU and International

CQC operates only under English legislation and regulations, so does not implement EU or other international legislation and regulations.

B – Economic Regulation

CQC does not have any economic regulation functions.

C – Price control

CQC does not have any role or functions that relate to pricing.

D – Civil Emergencies

CQC has no powers or role in civil emergencies

E – Fines and Penalties

CQC has not introduced or changed any regulatory provisions that relate to Fines & Penalties

F – Pro- Competition

CQC has not introduced or changed any regulatory provisions that relate to Pro Competition

G – Large Infrastructure projects

CQC has not introduced or changed any regulatory provisions that relate to large infrastructure projects

H – Misuse of Drugs/National Minimum Wage

CQC has not introduced or changed any regulatory provisions that relate to Misuse of drugs/national minimum wage.

I – Systematic Financial Risk

CQC has not introduced or changed any regulatory provisions that relate to systemic financial risk

K – Industry Codes

CQC has not introduced or changed any regulatory provisions that relate to industry codes

L1 – Casework

In 2015/16 CQC completed 34,998 registration processes which included new registration of services, cancellations and variations in registration. We undertook programme inspections of 15,293 adult social care locations; 4110 GP practices and 988 dental practices; 210 NHS hospital trusts; 306 independent hospital trusts. Our National Customer Service Centre received 259, 735 calls as well as e-mails, letters and online contacts. CQC took 1,090 enforcement actions including 828 serving warning notices; 80 non-urgent cancellations of registration; and 68 urgent procedure for suspension, variation or imposition or removal of conditions; 49 non-urgent variations or imposition or removal of conditions; and 55 fixed penalty notices issued. (Source CQC Annual Report and accounts 2015/16)

L2 – Education, communications and promotion

CQC regularly engages with providers, including those that are businesses, and the public. For example, on our new strategy from March 2015 to May 2016 we received in the final round of engagement a total of 768 consultation responses, which included responses from 359 health and adult social care providers, 142 members of the public, 42 representatives from the voluntary and community sector and 33 CQC staff members.

We spoke to more than 300 people at discussion events, and ran 12 half-day events across England. In a series of targeted focus groups we made sure we heard from people in communities whose voices are sometimes not heard. We engaged CQC staff through our internal engagement programme.

L3 – Activity related to policy development

We undertook five thematic reviews, where we report on peoples experiences of particular services. These included reviews of care for diabetes, end-of-life, integrated care for older people, mental health crisis, independent ambulance services. None of the thematic reviews led to changes to or clarification of guidance issued to businesses. Also CQC published the sixth annual monitoring report on how hospitals and care homes in England are using the Deprivation of Liberty Safeguards.

L4 – Changes to management of regulator

Many of these 31 changes relate to CQC internal handbooks written for our inspectors that do not directly require providers of care, including businesses, to do anything – for example a first ever safeguarding handbook for CQC inspectors was made available that aimed to improve consistency in approach, use of performance indicators and the training of inspectors. It did not require inspectors to do anything new. Also there are changes in CQC internal processes and systems that do not directly affect providers including businesses. For example an internal CQC integrated case management system was introduced capable of better supporting the business needs of the Governance and Legal Services business functions. This change had no direct impact on providers including businesses.


Last updated:
10 November 2017


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